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gy City Ordinnnce �n,y titetet °SVnr `, ing ����mnlyn'rrith <br />shall be treated �s a':later Disir •t." and <br />�- <br />nremises or "`�a:. <br />41%�ter District�"`•., <br />rr.gulatlons. <br />4later Dlstricts are require�i to f• i �,,I �tt�a,1,�shi.ngton1���201m tlttir.ayCbey <br />� of Everett, 'Jti.li.ti^s Dl*hr�m�Tt�:.✓,ment or senarately. If you have any <br />!,!1 mailea er broii3ht in, � zL Z5g_87�5• <br />�' question:', nlease ce.11 I•`.is. 6ap1 <br />pleAse return the comr.L;:ed fcrm vrithin 20 days of receint to: <br />•� p�rs. Sa�p - Utliity 91Tlir.� <br />Ci.ty.of Everett <br />E�'erett, l'ashington 9�z�1 <br />41ATF.N DISTRI�%T kG�O:i: <br />�.� . � �� <br />Name. of '�later District (if any) �' I y <br />Treasure.r oi Tayeri <br />e•----- ;jame <br />/ r �� ���� <br />J ( �� � ij �t,� <br />City, Sti�t�e, c.1n <br />_�,-� -�_ / 70 / <br />i <br />— Teleonone r+���.��- <br />Dersoas to no ;ify in case of emer�'�ncy - i?=1T��, Hdar's`" 'TPleohone A;umber: <br />�, <br />,.,�"'�.� l <br />i� c � �./a� <br />� o t - %� _S . � <br />f' �,�•��t.i`/, ��� ' �X`� ° -1 <br />� �37-/7�/ <br />� <br />� <br />�,/! �ri � i v. z .ia.t - �' • /i.i . <br />% / � / � CL�-�-r7 • C' . � _ <br />t' L"it f.C.� I�l.f7 �i, i.2 6 L/ � <br />3� 7- � /.z" <br />— �_, l -- <br />Total number of seLvicas connected to �he mastei• rtetex• <br />acesent number of' services in us�_, <br />�ccount NumUer��S <br />ma�:, PNmb�r _ p <br />�iZe of Service ,/'��_,___ = <br />Date P1ailed <br />� <br />